Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks
Vol 33 No 3 (2026)

Strengthening Health Cadres' Capacity through a Holistic Care Program for Community-Based Support of Patients with Chronic Diseases in Keramat Village, Martapura

Ifa Hafifah (Department of Nursing, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarbaru, Indonesia)
Ricky Prawira (Department of Nursing, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarbaru, Indonesia)
Candra Kusuma Negara (Department of Nursing, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarbaru, Indonesia)
Isnaini Isnaini (Department of Medicine, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarmasin, Indonesia)
Asnawati Asnawati (Department of Medicine, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarmasin, Indonesia)
Dona Marisa (Department of Medicine, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarmasin, Indonesia)
Ditta Try Larasatia (Department of Nursing, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarbaru, Indonesia)
Isnaini Raihanun Widiani (Department of Medicine, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarmasin, Indonesia)



Article Info

Publish Date
30 Sep 2026

Abstract

Chronic diseases require continuous community-based support that addresses patients’ biological, psychological, social, spiritual, and cultural needs. However, health cadres may have limited capacity to provide comprehensive assistance beyond physical health monitoring. This community service program aimed to strengthen health cadres’ capacity to apply a Holistic Care approach in supporting patients with chronic diseases and their families in Keramat Village, Martapura, South Kalimantan. The program involved 10 health cadres and 24 patients with chronic diseases and their families and was implemented through community empowerment, Holistic Care education, interactive training, case simulation, pocketbook-based guidance, digital documentation, and one-month home-based mentoring. Cadres’ knowledge was evaluated using a one-group pre-test–post-test design and analyzed descriptively. All cadres demonstrated increased post-test scores, with pre-test scores ranging from 35-80 and post-test scores from 75-100. Individual score increases ranged from 5 to 40 points, with a mean absolute increase of 21.2 points. The evaluation demonstrated an increase in health cadres’ knowledge following the program. However, the program did not assess cadres’ practical competency or patients’ quality of life using validated measures. The program supports continued cadre training, supervision, referral mechanisms, and direct evaluation of patient outcomes in future implementation.

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Journal Info

Abbrev

jwa

Publisher

Subject

Computer Science & IT Medicine & Pharmacology Social Sciences Other

Description

Jurnal Warta Pengabdian Andalas (JWA) Jurnal Warta Pengabdian Andalas (JWA) is a scientific journal managed by LPPM Universitas Andalas. This journal accepts articles related to community services for Indonesian society in field of both life and social sciences. It is published four times in a year, ...